Ultrasonography.  2017 Oct;36(4):363-369. 10.14366/usg.17007.

Ultrasonographic findings of posterior interosseous nerve syndrome

Affiliations
  • 1Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. dhha@cha.ac.kr

Abstract

PURPOSE
The purpose of this study was to evaluate the ultrasonographic findings associated with posterior interosseous nerve (PIN) syndrome.
METHODS
Approval from the Institutional Review Board was obtained. A retrospective review of 908 patients' sonographic images of the upper extremity from January 2001 to October 2010 revealed 10 patients suspicious for a PIN abnormality (7 male and 3 female patients; mean age of 51.8±13.1 years; age range, 32 to 79 years). The ultrasonographic findings of PIN syndrome, including changes in the PIN and adjacent secondary changes, were evaluated. The anteroposterior diameter of the pathologic PIN was measured in eight patients and the anteroposterior diameter of the contralateral asymptomatic PIN was measured in six patients, all at the level immediately proximal to the proximal supinator border. The size of the pathologic nerves and contralateral asymptomatic nerves was compared using the Mann-Whitney U test.
RESULTS
Swelling of the PIN proximal to the supinator canal by compression at the arcade of Fröhse was observed in four cases. Swelling of the PIN distal to the supinator canal was observed in one case. Loss of the perineural fat plane in the supinator canal was observed in one case. Four soft tissue masses were noted. Secondary denervation atrophy of the supinator and extensor muscles was observed in two cases. The mean anteroposterior diameter of the pathologic nerves (n=8, 1.79±0.43 mm) was significantly larger than that of the contralateral asymptomatic nerves (n=6, 1.02±0.22 mm) (P=0.003).
CONCLUSION
Ultrasonography provides high-resolution images of the PIN and helps to diagnose PIN syndrome through visualization of its various causes and adjacent secondary changes.

Keyword

Radial nerve; Posterior interosseous nerve; Nerve compression syndromes; Ultrasonography

MeSH Terms

Atrophy
Denervation
Ethics Committees, Research
Female
Humans
Male
Muscles
Nerve Compression Syndromes
Radial Nerve
Retrospective Studies
Ultrasonography
Upper Extremity
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